Timothy E Quill
Biographic Data
| ID | 5539390 |
|---|---|
| NAME | Timothy E Quill |
| GIVEN NAMES | Timothy E |
| FAMILY NAME | Quill |
| SIGNATURE | QUILL T E |
| AFFILIATIONS | Department of Medicine, University of Rochester School of Medicine and Dentistry |
| VERIFIED | No |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 0 |
Too Soon or Too Late
Cultural narratives shape how we think about the world, including how we decide when the end of life begins. Hospice care has become an integral part of the end‐of‐life care in the United States, but as it has grown, its policies and practices have also imposed cultural narratives, like those associated with the “six‐month rule” that the majority of the end of life takes place in the final six months of life. This idea is embedded in policies for…
When People Facing Dementia Choose to Hasten Death
Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life‐sustaining interventions and also that medical professionals can support thes…
Impact of Nursing Home Palliative Care Teams on End-of-Life Outcomes
BACKGROUND: Deficits in end-of-life care in nursing homes (NHs) are reported, but the impact of palliative care teams (PCTeams) on resident outcomes remains largely untested. OBJECTIVE: Test the impact of PCTeams on end-of-life outcomes. RESEARCH DESIGN: Multicomponent strategy employing a randomized, 2-arm controlled trial with a difference-in-difference analysis, and a nonrandomized second control group to assess the intervention's placebo effe…
Myths and Misconceptions about Palliative Sedation
Physicians should be clear about the difference between palliative sedation and terminal sedation and are urged to thoroughly document their actions to and seek the counsel of experts when sedating a dying patient. Virtual Mentor is a monthly bioethics journal published by the American Medical Association
Physician Autonomy, Paternalism, and Professionalism
The American Board of Internal Medicine and other leading medical organizations recently articulated "A Physician Charter" based on 3 principles: (1) the primacy of patient welfare; (2) patient autonomy; and (3) social justice The charter is intended to establish a system of core values for everyone working in the medical profession, and for physicians in particular. These 3 principles function as the proverbial 3-legged stool. Overall, patients …
In-Hospital End-of-Life Services
From the University of Rochester School of Medicine and Dentistry, Rochester, New York. Address correspondence and reprint requests to: Timothy E. Quill, MD, University of Rochester Medical Center, Box 601, Elmwood Avenue, Rochester, NY 14642. E-mail: [email protected] See page 00
Physician Recommendations and Patient Autonomy
Medical care in the United States has rapidly moved away from a paternalistic approach to patients and toward an emphasis on patient autonomy. At one extreme end of this spectrum is the "independent choice" model of decision making, in which physicians objectively present patients with options and odds but withhold their own experience and recommendations to avoid overly influencing patients. This model confuses the concepts of independence and a…
Incurable Suffering
Doctoring the Doctor
ing a reverence for life with the belief that death should come with dignity. An appendix includes practical details on living wills and health care proxy forms to encourage readers to adopt advance directives. Dr. Quill uses the book to issue a series of directives to the public, physicians, medical institutions, and governments to take charge and make to improve the care of dying patients. The change he proposes is to support legalization of ph…
Health-Care Seeking by Men in Their Spouseʼs Pregnancy
This study compares the health-care seeking by 212 married male members of a health maintenance organization of 36,000 whose wives were pregnant, with a group of 212 " nonexpectant " married men matched for age, number of prior children, and HMO membership. Retrospective, blind chart review was used to examine the number and timing of medical visits and the types of symptoms, diagnoses, testing, and treatments recorded over the 21-month period su…
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Health-Care Seeking by Men in Their Spouseʼs Pregnancy
This study compares the health-care seeking by 212 married male members of a health maintenance organization of 36,000 whose wives were pregnant, with a group of 212 " nonexpectant " married men matched for age, number of prior children, and HMO membership. Retrospective, blind chart review was used to examine the number and timing of medical visits and the types of symptoms, diagnoses, testing, and treatments recorded over the 21-month period su…
Incurable Suffering
Doctoring the Doctor
ing a reverence for life with the belief that death should come with dignity. An appendix includes practical details on living wills and health care proxy forms to encourage readers to adopt advance directives. Dr. Quill uses the book to issue a series of directives to the public, physicians, medical institutions, and governments to take charge and make to improve the care of dying patients. The change he proposes is to support legalization of ph…
Physician Recommendations and Patient Autonomy
Medical care in the United States has rapidly moved away from a paternalistic approach to patients and toward an emphasis on patient autonomy. At one extreme end of this spectrum is the "independent choice" model of decision making, in which physicians objectively present patients with options and odds but withhold their own experience and recommendations to avoid overly influencing patients. This model confuses the concepts of independence and a…
In-Hospital End-of-Life Services
From the University of Rochester School of Medicine and Dentistry, Rochester, New York. Address correspondence and reprint requests to: Timothy E. Quill, MD, University of Rochester Medical Center, Box 601, Elmwood Avenue, Rochester, NY 14642. E-mail: [email protected] See page 00
Physician Autonomy, Paternalism, and Professionalism
The American Board of Internal Medicine and other leading medical organizations recently articulated "A Physician Charter" based on 3 principles: (1) the primacy of patient welfare; (2) patient autonomy; and (3) social justice The charter is intended to establish a system of core values for everyone working in the medical profession, and for physicians in particular. These 3 principles function as the proverbial 3-legged stool. Overall, patients …
Myths and Misconceptions about Palliative Sedation
Physicians should be clear about the difference between palliative sedation and terminal sedation and are urged to thoroughly document their actions to and seek the counsel of experts when sedating a dying patient. Virtual Mentor is a monthly bioethics journal published by the American Medical Association
Impact of Nursing Home Palliative Care Teams on End-of-Life Outcomes
BACKGROUND: Deficits in end-of-life care in nursing homes (NHs) are reported, but the impact of palliative care teams (PCTeams) on resident outcomes remains largely untested. OBJECTIVE: Test the impact of PCTeams on end-of-life outcomes. RESEARCH DESIGN: Multicomponent strategy employing a randomized, 2-arm controlled trial with a difference-in-difference analysis, and a nonrandomized second control group to assess the intervention's placebo effe…
Too Soon or Too Late
Cultural narratives shape how we think about the world, including how we decide when the end of life begins. Hospice care has become an integral part of the end‐of‐life care in the United States, but as it has grown, its policies and practices have also imposed cultural narratives, like those associated with the “six‐month rule” that the majority of the end of life takes place in the final six months of life. This idea is embedded in policies for…
When People Facing Dementia Choose to Hasten Death
Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life‐sustaining interventions and also that medical professionals can support thes…
Medicine (9 works) · Psychology (6 works) · Nursing (4 works) · Palliative Care and End-of-Life Issues (4 works) · Ethics in medical practice (3 works) · Philosophy (3 works) · Autonomy (2 works) · Family medicine (2 works) · Internal Medicine (2 works) · Internal Medicine (2 works)